Danga Solomon D, Adebiyi Babatope O, Koegler Erica, Joseph Conran, Roman Nicolette V
Centre for Interdisciplinary Studies of Children, Families and Society, University of the Western Cape, Private Bag x17, Bellville 7535, South Africa.
School of Social Work, University of Missouri St. Louis, 1 University Blvd, St. Louis, MO 63121-4400, USA.
Healthcare (Basel). 2025 May 6;13(9):1069. doi: 10.3390/healthcare13091069.
: Refugees often experience multiple traumatic events due to persecution, conflict, and displacement, which can result in poor mental health outcomes. The current study examined whether coping and resilience mediate the relationship between traumatic experience(s) and mental health outcomes and whether these indirect effects were moderated by age, gender, and refugee camp duration. A cross-sectional, correlational study design was employed. Data were collected from 14 July 2019 to 28 August 2019. A sample of 414 adolescent refugees from two refugee camps in the Gambella regional state of Ethiopia were selected using proportional stratified sampling and simple random sampling techniques. Participants completed a self-reported questionnaire. Data were analysed using Structural Equation Modelling for hypotheses testing causal models. Coping and resilience fully mediated the relationship between traumatic experience and mental health among adolescent refugees. Refugee camp duration as a moderator factor weakens the positive relationship between traumatic experiences and mental health outcomes. : This study highlights the critical importance of comprehensive intervention strategies that strengthen adolescent refugee personal, family, social, and community level coping and resilience abilities within refugee camps setting. The findings also strongly suggested that early intervention in refugee camps could protect adolescent refugees from possible psychological distress and maintain adolescents' mental health and well-being within refugee camps.
难民常常因迫害、冲突和流离失所而经历多重创伤事件，这可能导致不良的心理健康结果。本研究考察了应对方式和心理韧性是否在创伤经历与心理健康结果之间起中介作用，以及这些间接效应是否受到年龄、性别和难民营居住时长的调节。采用了横断面相关研究设计。数据收集时间为2019年7月14日至2019年8月28日。使用比例分层抽样和简单随机抽样技术，从埃塞俄比亚甘贝拉地区州的两个难民营中选取了414名青少年难民作为样本。参与者完成了一份自我报告问卷。使用结构方程模型分析数据以检验因果模型的假设。应对方式和心理韧性在青少年难民的创伤经历与心理健康之间起完全中介作用。作为调节因素的难民营居住时长削弱了创伤经历与心理健康结果之间的正向关系。本研究强调了全面干预策略的至关重要性，这些策略可在难民营环境中增强青少年难民个人、家庭、社会和社区层面的应对能力和心理韧性。研究结果还强烈表明，在难民营进行早期干预可以保护青少年难民免受可能的心理困扰，并在难民营中维持青少年的心理健康和幸福感。
